Since viruses depend on cellular enzymes for their synthesis, they are less amenable than more complex organisms to selective inhibition. However, our knowledge of viral-specific intracellular events has increased and the feasibility of viral chemotherapy has become more firmly established at least in selected situations. For example, idoxuridine, methisazone, and amantadine represent three separate chemical classes of agents generally considered to be efficacious in the treatment of viral infections in man. The use of idoxuridine against herpes keratitis in man is well established; its clinical utility for dermal herpetic infections is less clear. Other unnatural nucleosides such as Ara-C and Ara-A also exhibit antiviral activity in various experimental infections. Methisazone has been used to prevent smallpox and alastrim in clinical contacts; it has also been used with apparent success in the treatment of vaccinia gangrenosa and eczema vaccinatum. Other thiosemicarbazones also possess similar intrinsic antiviral activity. Amantadine inhibits certain strains of influenza. Prophylaxis has been achieved in challenge studies and field trials against influenza A2. From more limited studies it also appears that this compound can be used therapeutically, that is, against already established infections. Other cyclic amines with activity against influenza are under study (e.g. rimantadine and cyclooctylamine). Relatively few additional chemical antiviral agents that hold promise for clinical utility are known at this time. However, there is considerable interest in the potential use of human interferon and interferon inducers. Human interferon is active in model infections, and it thas been reported to be efficacious against influenza in man. Currently, there are serious technical impediments to its economic production. These problems may be circumvented by the use of inducers, but as yet no compound with the required combination of properties has been found. A few preparations have demonstrated high potency in selected model infections, but they appear too toxic for parenteral use in man. The recent observation that an orally active low molecular weight compound (tilorone) possesses interferon inducing activity may pave the way for further advances in this area. Past experiences in viral chemotherapy and an increasing knowledge of the mechanisms of viral infections should better enable us to chart a more productive future course. The processes of compound selection, choice of screening strategy, and market goals can now be better directed. Also, contrary to past predictions, the possibility of therapy as opposed to prophylaxis appears more likely. The present status of viral chemotherapy may be likened to that of the early sulphonamide era in bacteriology. Clinically active compounds are available and the probability of finding more effective agents is very high.